Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Syllabova 19, 708 00 Ostrava, Czech Republic.
Caritas Czech Republic, Caritas Sternberk, Opavská 1385/13, Šternberk, 785 01, Czech Republic.
J Tissue Viability. 2019 Aug;28(3):139-143. doi: 10.1016/j.jtv.2019.04.002. Epub 2019 Apr 13.
The study aimed to determine the clinical effectiveness of honey dressings in the management of non-healing wounds in elderly persons receiving home care.
Design: a prospective interventional study. The sample comprised 40 Czech home care clients (aged over 65 years) with non-healing wounds who were randomly assigned to two groups. Wounds were treated with honey (intervention group) or conventional (controls) dressings. Each wound was studied for three months. A detailed description of a wound (location, size, wound bed, edges, amount of exudate, odor, adjacent skin) were recorded. Wounds were assessed with the Wound Healing Continuum and pain intensity with the Visual Analog Scale.
Over the 3-month period, 16 (80%) individuals in the intervention group had their wounds completely healed, as compared with only six (30%) controls. There was no statistically significant difference in wound size between the groups on Day 1 (p = 0.1801). Ninety days later, the difference in wound size between the groups was statistically significant (p = 0.0041). There was a statistically significant difference in pain intensity between the two groups (p = 0.0007), with higher pain scores being indicated by controls.
The study results showed that the application of honey dressings to non-healing wounds resulted in faster healing, wound size reduction and lower pain intensity.
本研究旨在确定蜂蜜敷料在管理接受家庭护理的老年人未愈合伤口方面的临床效果。
设计：前瞻性干预研究。样本包括 40 名捷克家庭护理客户（年龄超过 65 岁），他们患有未愈合的伤口，这些患者被随机分配到两组。伤口分别用蜂蜜（干预组）或常规（对照组）敷料进行治疗。每个伤口都进行了为期三个月的研究。详细记录伤口的位置、大小、伤口床、边缘、渗出量、气味、相邻皮肤等情况。使用伤口愈合连续统和视觉模拟量表评估伤口，用疼痛强度评估疼痛强度。
在 3 个月的时间内，干预组中有 16 人（80%）的伤口完全愈合，而对照组只有 6 人（30%）。第 1 天两组的伤口大小无统计学差异（p=0.1801）。90 天后，两组之间的伤口大小差异有统计学意义（p=0.0041）。两组之间的疼痛强度存在统计学差异（p=0.0007），对照组的疼痛评分更高。
研究结果表明，将蜂蜜敷料应用于未愈合的伤口可加速愈合、缩小伤口面积并降低疼痛强度。
